| Lisa S Tilton Dds Inc. | |
|
17742 Beach Blvd Ste 315 Huntington Beach CA 92647-6853 | |
| (714) 962-5545 | |
| Not Available |
| Full Name | Lisa S Tilton Dds Inc. |
|---|---|
| Speciality | Dentist |
| Location | 17742 Beach Blvd Ste 315, Huntington Beach, California |
| Authorized Official Name and Position | Lisa Tilton (OWNER) |
| Authorized Official Contact | 7149625545 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa S Tilton Dds Inc. 17742 Beach Blvd Ste 315 Huntington Beach CA 92647-6853 Ph: (714) 962-5545 | Lisa S Tilton Dds Inc. 17742 Beach Blvd Ste 315 Huntington Beach CA 92647-6853 Ph: (714) 962-5545 |
| NPI Number | 1750857538 |
|---|---|
| Provider Enumeration Date | 10/18/2018 |
| Last Update Date | 10/18/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750857538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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